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JOANNE JACKSON NP NPI 1013099795


NPI Information

NPI: 1013099795
Provider Name: JOANNE JACKSON, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: BAYSTATE MEDICAL PRACTICES INC

PECOS Registration: Yes

Address:
3300 MAIN ST
2ND FLOOR, SUITE A
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 794-2273
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Joanne Jackson, NP is an adult health nurse practitioner in Springfield, MA with 25 years of experience. Joanne Jackson, NP NPI is 1013099795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3300 MAIN ST
2ND FLOOR, SUITE A
SPRINGFIELD, MA
ZIP 01107-112
Phone: (413) 794-2273
Fax: (413) 794-0198

The NPI 1013099795 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)

The enumeration date for this NPI number is 10/20/2006 and was last updated on 1/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner141500MASSACHUSETTSNo
2363LA2200XNurse PractitionerAdult HealthRN141500MASSACHUSETTSYes
3363LF0000XNurse PractitionerFamily141500MASSACHUSETTSNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.